BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3241809 · Received July 22, 2013

    Report

    Report Number
    1525712-2013-06024
    Event Type
    Malfunction
    Date Received
    July 22, 2013
    Report Date
    July 2, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THE END USER STATED WHEN GOING OVER THRESHOLDS OR RUNNING THE CHAIR OUTSIDE, THE CASTERS WILL LIFT THE DRIVE WHEELS OFF THE GROUND AND MAKE IT DIFFICULT TO GO FORWARD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    341776 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET M51

    Patients

    Seq Age Sex Outcome Treatment
    1 Other